Organization
ULYSSES EYECARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY COPELAND D.O. (OPTOMETRIST/OWNER)
(620) 356-4094
Entity
Organization
Contact information
Practice address
1100 W OKLAHOMA AVE, ULYSSES, KS 67880-2359
(620) 356-4094
(620) 356-1978
Mailing address
1100 W OKLAHOMA AVE, ULYSSES, KS 67880-2359
(620) 356-4094
(620) 356-1978
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1026-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219550C
—
KS
Enumeration date
05/22/2008
Last updated
11/25/2008
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